关键词:

粘连性肩周炎, 小针刀松解, 中药热敷, 肩关节受限, 炎症因子

Abstract:

Objective　To observe the clinical efficacy and safety of small-needle knife loosening combined with traditional Chinese medicine hot compress in the treatment of adhesive frozen shoulder syndrome. Methods　A total of 80 patients with adhesive frozen shoulder syndrome admitted to Baoji Second Hospital of Traditional Chinese Medicine from August 2023 to May 2024 were prospectively selected and were divided into two groups with 40 cases in each group by drawing lots. Group A included 12 males and 28 females, aged (57.74±7.88) years, the course of disease was (5.25±1.33) months, and there were 24 cases on the left shoulder and 16 cases on the right shoulder. Group B included 14 males and 26 females, aged (58.01±7.16) years, the course of disease was (5.21±1.42) months, and there were 21 cases on the left shoulder and 19 cases on the right shoulder. Group A was treated with small-needle knife loosening alone, once every two weeks, twice in total. Group B was treated with small-needle knife loosening combined with hot compress of traditional Chinese medicine: hot compress of traditional Chinese medicine was started 1 day after small-needle knife loosening, once a day, 30 min each time, continuous treatment for 4 weeks, and hot compress was suspended once in case of small-needle knife treatment day. The McGill pain questionnaire score, interleukin-10 (IL-10), IL-6, periarticular shoulder muscle strength, shoulder range of motion, and total clinical effective rate were compared between the two groups. t test and χ² test were used for statistical analysis. Results　After treatment, The Present Pain Intensity (PPI) scores [(1.45±0.34) and (0.85±0.22) points], Visual Analogue Scale (VAS) scores [(2.45±0.74) and (1.60±0.48) points], Pain Rating Index (PRI) scores [(10.10±1.78) and (6.75±1.26) points] in group A and B were lower than those before treatment, and those in group B were lower than those in group A (all P<0.05). After treatment, the levels of IL-10 in group A and B were higher than those before treatment, and the levels of IL-6 were lower than those before treatment; the level of IL-10 in group B was higher than that in group A, and the level of IL-6 was lower than that in group A (all P<0.05). After treatment, the peak anterior flexion moments [(42.63±4.22) and (51.04±4.89) N/m], average power of anterior flexion [(45.52±5.11) and (56.65±6.02) W], peak abduction moments [(44.15±4.29) and (52.05±5.21) N/m], and average power of abduction [(44.12±5.27) and (51.77±4.82) W] in group A and B were higher than those before treatment, and those in group B were higher than those in group A (all P<0.05). After treatment, the ranges of motion of shoulder anterior flexion, posterior extension, internal rotation, external rotation, and abduction in group A and B were higher than those before treatment, and those in group B were higher than those in group A (all P<0.05). The total effective rate of group B [95.00% (38/40)] was higher than that of group A [80.00% (32/40)], with a statistically significant difference (P<0.05). Conclusion Small-needle knife loosening combined with traditional Chinese medicine hot compresses in the treatment of adhesive frozen shoulder syndrome can reduce the pain, improve the degree of shoulder joint restriction, regulate the expressions of inflammatory factors, and improve the treatment efficacy.

Key words:

Adhesive frozen shoulder syndrome, Small-needle knife loosening, Traditional Chinese medicine hot compress, Shoulder joint restriction, Inflammatory factors